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The book is a brave attempt at bringing out the importance of seeking medical help for mental health issues. One of the more alarming discoveries to emerge so far is the large number of women for whom sex is actually painful. How can this be? There could be any number of reasons for the fall, but one intriguing suggestion is that the economic trends that have shaped the current political climate may also have affected our more intimate relations. We turn to technology instead of to people.

And VR porn is taking off. There have to be other factors as well—something that insinuated itself into our lives some time around the turn of the millennium. One study of the GSS data showed that more than twice as many millennials were sexually inactive in their early 20s than the prior generation was. Not because they were richer, the study suggested, but because times seemed fairer. Lori Brotto, an obstetrics professor at the University of British Columbia and a sex therapist. Jean Twenge, professor of psychology, San Diego State University who wrote a much-cited paper for the Archives of Sexual Behavior about the downturn, says one big reason is marriage—but not for the reason everybody thinks. Manral's prose is racy and immersive. Manral carefully examines, through her characters, how mental illness can affect families, tear apart relationships, and push one off the edge without a warning. And increasingly, young people are eschewing having a relationship with one partner and instead hanging out with a loosely assorted group of friends. Treating depression can further hurt desire; many common medications for depression, such as SSRIs, are known to lower libido. And the more highly educated seem to be the worst offenders. Americans are not having sex. Astonishing numbers of hours of pornography are being consumed online. And the sharpest drop was the most recent, in the years to That conclusion makes sense to Regnerus. Couples need to figure out their sexual needs and wants, communicate them and perhaps put down their phones for a while. Prithvi, the husband, deals with his private mess and fails miserably to express his love for Aisha, thereby amounting to more dispassionate madness. I would suspect that could be an issue. The higher national rates of obesity are one likely libido-dampener, for example. Economic pressure might also explain why young people have experienced the steepest falloff in sexual activity. For women, washing up was the libido killer. A study released in April from the University of Utah sliced it even further: Brits are delaying even longer. The supply side of the equation is solved, only demand remains a riddle. Another of her papers found that general happiness among those over 30 had dropped markedly since

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One study of the GSS data showed that more than twice as many millennials were sexually inactive in their early 20s than the prior generation was. Lori Brotto, an obstetrics professor at the University of British Columbia and a sex therapist.